RELEASE OF PET OWNERSHIP
Southeast Bloodhound Rescue, Inc. is a private charitable non profit rescue organization 501(c)3. SEBR is the regional rescue organization affiliated and approved by the American Bloodhound Club, Inc
Please print all information carefully and in legible form.
Unreadable forms will be returned and delay processing.
I, ___________________________________________, as full authorized owner(s), hereby surrender the bloodhound known as ______________________________________, age __________ , sex ___________ Registration # if known__________________________ to Southeast Bloodhound Rescue, hereinafter referred to as SEBR, represented by the undersigned. I certify that this transfer has been agreed to by all co-owners. I hereby transfer full ownership, rights, and responsibility as of the date of acceptance by SEBR on page 3. I fully understand that should the surrendered bloodhound be aggressive to humans or lethally aggressive to other animals, SEBR will euthanize the bloodhound being surrendered without notification to the undersigned.
Date Release completed: ____________________________
Owner: _______________________________ Co-owner: ______________________________
Address: ______________________________ Address_________________________________
City: ____________ State: __ ZIP:________ City: ________________ State: __ ZIP: _______
Phone: ________________________________ Phone: _________________________________
PLEASE THOROUGHLY COMPLETE THE FOLLOWING:
Sex:________ Spayed/Neutered? _________ Breed or Type: ____________________________
Physical Appearance: ___________________________ Color: _________________________
Registration: _____________ ___________ White Markings: ___________________________
Tattoo: ____________________________ Scars or broken teeth: _______________________
Microchip #__________________________ What company___________________________
MEDICAL:Shots:__________________ Allergies? _____________ Heart Worm Tested _____ Results_______What prevention is the dog on__________(name and manufacturer)
Veterinarian: _________________________________ Phone: _________________________
Last Date seen by the Veterinarian________________________________________________
Does the pet like:Strangers? _____ Children? _____ Cats? _____Dogs? _____other animals___
Play? ___Car rides? ___Toys? ___ Elderly persons___(if no to any question, detail in comments)
HABITS: Housebroken? ________ Chewing? __________ Escape house or fence? _________
Digging? ______________ Tricks? ___________________How does the dog walk on a leash___________________________ What type of collar/Harness do you utilize____________
TEMPERMENT:(thoroughly explain )___________________________________________
Has the pet ever bitten anyone (Y/N)?: ___ Who? _______________ When? ______________
Why? ___________________________ Seriousness of bite? __________________________
Is the dog crate trained?___________________ Where does the dog sleep at night________________________________________________________________________
Where is the dog kept during the day when the owners are away_______________________
When the owners are at home___________________________________________________
Has the dog had any obedience training_______________what type and what was the result of that training___________________________________________________________________
Please note that no dog will be accepted until this completed application is in Rescues possession. As soon as the surrender is received you will be contact.
Please send via e-mail to the address below good photographic pictures of the dog. Include at least on head shot and one side shot, showing the entire body of the dog.
ADDITIONAL COMMENTS: Please comment on your experience with your dog (Please include any information that a prospective new owner may need, both good and bad. If additional space is needed, feel free to attach additional pages as necessary.)
We/I hereby certify that we/I have full authority and rights to surrender the described dog to Southeast Bloodhound Rescue, Inc.
Signature of Surrendering Owner____________________________________Date__________
Signature of Surrendering Co-Owner_________________________________Date__________
ACCEPTED BY ___________________________________Representative of SEBR Date__________________________________________________
MAIL COMPLETED RELEASE TO: Southeast Bloodhound Rescue